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Old 02-23-2006, 10:37 PM   #12 (permalink)
Rubyhawk
Junior Member

Join Date: Feb 2006
Location: Hauser Lake, Idaho
Age: 46
Posts: 9
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Quote:
Originally Posted by Tawanda
Well, the insurance finally called me back yesterday and they upheld their original decision to deny my surgery...Ack!

I have one more level of appeal and they said I should be getting the info on that in the mail this week.

Besides being really, REALLY disgusted....I am madder than a wet hornet!! I am thinking that it is time to see an attorney.

Does anyone know anybody that has gone to an attorney for representation to the insurance company? I only have another 30 days to appeal the second time and I am thinking I need to bring out the BIG guns.
Twanda - I to lost out on the insurance 4 years ago. I gave up. Now here it is present day. I decided in November of 05 that I had enough of living my life in misery. So I was determined to get this done once and for all. I must say that it takes a good PCF that will push the insurance company. That’s what my doctor did and he got them to change their mind with one appeal this time. I don’t know who your insurance company is but I do know that If your doctor lets them know that it is time sensitive to your health to have the surgery ASAP they tend to approve the procedure. I hope this helps. hang in there.
__________________
Take it day by day don't hurry your life away.
Ruby - 257 lbs/pre-op
Consultation w/doc-2/9/06,Mental Health Consult-2/9/06,Optifast start date 2/9/06
Pre-op group support meeting 2/14/06
Consult w/dietitian 2/16/06
stomach scope 2/20/09
Physical therapy discuss exercise plans 2/21/06
Ultra sound,EKG,Metabolic weight assessment 2/24/06
Preop with doctor yea! 3/2/06
Finally its here ! surgery date 3/13/06
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